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Total Results: 7,452 records

Showing results for "problem".

81. The poor state of health care quality in the U.S.: is malpractice liability part of the problem or part of the solution? | PSNet
    psnet.ahrq.gov/issue/poor-state-health-care-quality-us-malpractice-liability-part-problem-or-part-solution
    March 01, 2023 - .: is malpractice liability part of the problem or part of the solution? … The poor state of health care quality in the U.S.: is malpractice liability part of the problem or part … The poor state of health care quality in the U.S.: is malpractice liability part of the problem or part

82. Spinal surgery complications: an unsolved problem-Is the World Health Organization Safety Surgical Checklist an useful tool to reduce them? | PSNet
    psnet.ahrq.gov/issue/spinal-surgery-complications-unsolved-problem-world-health-organization-safety-surgical
    March 08, 2023 - Study Spinal surgery complications: an unsolved problem-Is the World Health Organization … Spinal surgery complications: an unsolved problem-Is the World Health Organization Safety Surgical Checklist … Spinal surgery complications: an unsolved problem-Is the World Health Organization Safety Surgical Checklist

83. The increased incidence of anesthetic adverse events in late afternoon surgeries. | PSNet
    psnet.ahrq.gov/issue/increased-incidence-anesthetic-adverse-events-late-afternoon-surgeries
    October 19, 2022 - affect safety and offers scheduling, educational, and clinical practice recommendations to address the problem … July 10, 2017 Evaluation of a problem-specific SBAR tool to improve after-hours nurse-physician

84. Racial disparities in maternal mortality. | PSNet
    psnet.ahrq.gov/issue/racial-disparities-maternal-mortality
    June 17, 2020 - reviews weaknesses of this approach which include a lack of emphasis on state-level analysis of the problem … to address  system-level contributors  to the problem.

85. Spotlight
    psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_managing_complexity_in_diagnosis_-_slides_final.pptx
    January 01, 2024 - to be solved at one point in time, rather than a recurring and evolving problem that is influenced by … representation 17 Practice iterative and dynamic problem representation (1) Problem representation … The second way to conceive of problem representation is as an individual’s mental representation of a … problem representation in this case upon the patient’s first presentation could be: A middle-aged … The importance of early problem representation during case presentations.

86. Rescue Improvement Conference Innovation Summary | PSNet
    psnet.ahrq.gov/innovation/rescue-improvement-conference-innovation-summary
    September 23, 2024 - hospital staff to attend one-hour case review sessions, which focus on breakdowns in communication, problem … These two aspects of the innovation allow for multilevel problem-solving. … strengths of RIC go beyond a more traditional M&M model and include improvements to communication and problem-solving … This can be done by thoroughly describing the severity of the problem at the organization, and by leveraging … It may be helpful to frame the problem as a continuous quality improvement opportunity that builds on

87. Overdiagnosis: how our compulsion for diagnosis may be harming children. | PSNet
    psnet.ahrq.gov/issue/overdiagnosis-how-our-compulsion-diagnosis-may-be-harming-children
    March 04, 2020 - The authors advocate for research and educational strategies to better understand and address the problem … May 15, 2019 Laney's story: the problem of delayed diagnosis of pediatric stroke.

88. Clinicians' expectations of the benefits and harms of treatments, screening, and tests: a systematic review. | PSNet
    psnet.ahrq.gov/issue/clinicians-expectations-benefits-and-harms-treatments-screening-and-tests-systematic-review
    May 05, 2021 - Overuse of medical care represents a significant patient safety problem , with the potential for serious … October 10, 2018 Overdiagnosis in primary care: framing the problem and finding solutions

89. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/865884/psn-pdf
    May 29, 2024 - to be solved at one point in time, rather than a recurring and evolving problem that is influenced … to be solved.8,9,10 Problem representation is a key activity in most diagnostic reasoning curricula … The second way to conceive of problem representation is as an individual’s mental representation of … The importance of early problem representation during case presentations. … Reasoning on rounds: summary statement or problem representation?

90. Invited article: Managing disruptive physician behavior: impact on staff relationships and patient care. | PSNet
    psnet.ahrq.gov/issue/invited-article-managing-disruptive-physician-behavior-impact-staff-relationships-and-patient
    February 03, 2010 - this area has investigated predictors of unprofessional actions and system-level solutions to the problem … September 24, 2010 Perspective How to Identify and Manage Problem … April 22, 2011 Perspective How to Identify and Manage Problem

91. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/74699/psn-pdf
    January 26, 2022 - Indication alerts to improve problem list documentation. … Indication alerts to improve problem list documentation. … https://psnet.ahrq.gov/issue/indication-alerts-improve-problem-list-documentation Problem lists, while … on the problem list) in two different hospitals using different EHRs. … Both sites resulted in a proportion of new problems being added to the problem list for the medications

92. Institutional disclosure: promise and problems. | PSNet
    psnet.ahrq.gov/issue/institutional-disclosure-promise-and-problems
    August 12, 2015 - Study Institutional disclosure: promise and problems. Citation Text: Wolk SW, Sine DM, Paull DE. Institutional disclosure: promise and problems. J Healthc Risk Manag. 2014;33(3):24-32. doi:10.1002/jhrm.21132. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3…

93. Healthcare: The Problems Are Organizational Not Clinical. | PSNet
    psnet.ahrq.gov/issue/healthcare-problems-are-organizational-not-clinical
    July 14, 2010 - Special or Theme Issue Healthcare: The Problems Are Organizational Not Clinical. Citation Text: Healthcare: The Problems Are Organizational Not Clinical. J Org Behavior. 2006;27(7):809-1029. Copy Citation Save Save to your library Print Download PD…

94. Healthcare-associated infections: a national patient safety problem and the coordinated response. | PSNet
    psnet.ahrq.gov/issue/healthcare-associated-infections-national-patient-safety-problem-and-coordinated-response
    May 20, 2016 - Commentary Healthcare-associated infections: a national patient safety problem and … Healthcare-associated infections: a national patient safety problem and the coordinated response. … Healthcare-associated infections: a national patient safety problem and the coordinated response.

95. Root Cause Analysis: The Core of Problem Solving and Corrective Action, Second Edition. | PSNet
    psnet.ahrq.gov/issue/root-cause-analysis-core-problem-solving-and-corrective-action-second-edition
    June 09, 2011 - Book/Report Classic Root Cause Analysis: The Core of Problem … Citation Text: Root Cause Analysis: The Core of Problem Solving and Corrective Action, Second Edition … Cite Citation Citation Text: Root Cause Analysis: The Core of Problem

96. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/865872/psn-pdf
    May 15, 2024 - Speaking up and taking action: psychological safety and joint problem-solving orientation in safety … Speaking up and taking action: psychological safety and joint problem-solving orientation in safety … https://psnet.ahrq.gov/issue/speaking-and-taking-action-psychological-safety-and-joint-problem-solving … This study explored the association of psychological safety and joint-problem- solving orientation ( … https://psnet.ahrq.gov/issue/speaking-and-taking-action-psychological-safety-and-joint-problem-solving-orientation-safety

97. Anesthesia Awareness Registry. | PSNet
    psnet.ahrq.gov/issue/anesthesia-awareness-registry
    May 24, 2015 - understanding patient awareness during surgery and provides materials to consumers and clinicians about the problem … August 7, 2024 Patient falls in the operating room: why is this still a problem in 2024

98. Creating a safer health care system: finding the constraint. | PSNet
    psnet.ahrq.gov/issue/creating-safer-health-care-system-finding-constraint
    February 24, 2011 - These include agreement that a problem exists, agreement that a proposed solution actually solves the … problem, and identifying obstacles and how they can be overcome.  … February 26, 2025 Development of "SWARM" as a model for high reliability, rapid problem

99. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/867602/psn-pdf
    January 22, 2025 - Addressing racial and ethnic bias in pulse oximeters—a wicked problem. … Addressing racial and ethnic bias in pulse oximeters—a wicked problem. … https://psnet.ahrq.gov/issue/addressing-racial-and-ethnic-bias-pulse-oximeters-wicked-problem Pulse … Improving accuracy of pulse oximeters is a complex problem with manufacturer, clinical, legal, and regulatory … https://psnet.ahrq.gov/issue/addressing-racial-and-ethnic-bias-pulse-oximeters-wicked-problem https:/

100. Is misdiagnosis inevitable? | PSNet
     psnet.ahrq.gov/issue/misdiagnosis-inevitable
     June 16, 2011 - reports on the prevalence of diagnostic error and describes characteristics that contribute to the problem … November 21, 2016 The persistent problem of diagnostic error.